| Cowboy Healthcare Pllc | |
|
136 E Main St, Ravenna, OH 44266-3104 | |
| (330) 472-0372 | |
| (330) 649-2713 |
| Full Name | Cowboy Healthcare Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 136 E Main St, Ravenna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891162343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Brian Joseph Gallagher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871865493 PECOS PAC ID: 9638303605 Enrollment ID: I20131106001367 |
| Mailing Address | Practice Location Address |
|---|---|
| Cowboy Healthcare Pllc 2490 Maplehurst Dr, Stow, OH 44224-2755 Ph: (330) 472-0372 | Cowboy Healthcare Pllc 136 E Main St, Ravenna, OH 44266-3104 Ph: (330) 472-0372 |
Susan Bellamy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 533 E Main St, Ravenna, OH 44266 Phone: 330-297-9020 Fax: 330-297-9094 | |
Hannah Ward, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St Bldg Suite100, Ravenna, OH 44266 Phone: 330-297-2770 Fax: 330-297-8833 | |
Nicole Stone, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 865 Overlook Ave, Ravenna, OH 44266 Phone: 330-322-0566 | |
Timothy C Sommer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Suite 100, Ravenna, OH 44266 Phone: 330-297-2770 Fax: 330-297-8833 | |
Christine Marie Faler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Suite 100, Ravenna, OH 44266 Phone: 330-297-2770 Fax: 330-297-8833 | |
Dale P Jones Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6695 N Chestnut St, Ravenna, OH 44266 Phone: 330-759-5904 Fax: 330-759-8709 | |
Joseph Blasiole, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Suite 100, Ravenna, OH 44266 Phone: 330-297-2770 Fax: 330-297-8833 |